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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628484
Report Date: 09/29/2021
Date Signed: 09/29/2021 04:50:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:BEILESON, ELSA & BEILESON, OSCAR FAMILY CHILD CAREFACILITY NUMBER:
376628484
ADMINISTRATOR:E. BEILSON & O. BEILESONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 608-7140
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 5DATE:
09/29/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:23 PM
MET WITH:Elsa Beileson & Oscar Beileson TIME COMPLETED:
03:45 PM
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On September 29, 2021 at 2:23pm an unannounced case management inspection was conducted by Licensing Program Analysts (LPAs) Casey Gulley and Claudia Amador. LPA Claudia Amador assisted with translation. Upon arrival, LPAs met with Elsa Beileson and Oscar Beileson. Also present were five (5) children in care and one additional staff member. Purpose of this visit is to inspect Licensee’s pool gate to ensure the pool gate self-latch and self-close. LPAs took a tour of the home, inside and outside, as shown on the facility sketch. LPAs inspected and observed the pool gate to ensure that it self latch and self-close. Licensee has another gate that leads to the pool that she states will be kept locked at all times.

LPA Gulley discussed and reminded Licensee that it is the responsibility to ensure the health and safety of all the children in care. Licensee states that a daily safety check is conducted every morning to ensure all gates are secure prior to the children arrival.

No deficiencies observed in the areas inspected during today's inspection. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Casey GulleyTELEPHONE: (619) 767-2216
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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